Active NPI
Rachel Henderson, CNM
- Advanced Practice Midwife
- Warrensburg, MO
National Provider Identifier
1669007332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 2021007301
- Practice address
- 415 Burkarth Rd Ste a
Warrensburg, MO 64093-3120 - Phone
- (660) 429-2228
- NPI assigned
- Mar 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Warrensburg, MO
- NPI 1144103029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210420000247 | MO | Practitioner - Certified Nurse Midwife (CNM) | 1456769199 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 778 | NM | MD | Midwife |
| 70824 | NM | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Missouri Medical Center | Current | Accepting new patients | |
| Western Missouri Medical Center | Current | Accepting new patients |
Locations
415 Burkarth Rd
Ste A
Warrensburg, MO 64093
Phone (660) 429-2228
403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Inpatient Obstetric Registered Nurse | 163WX0003X | 70824 | NM | |
| Midwife | 176B00000X | 778 | NM | |
| Advanced Practice Midwife | 367A00000X | 2021007301 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
415 Burkarth Rd Ste a
Warrensburg, MO 64093-3120
Mailing address
415 Burkarth Rd Ste a
Warrensburg, MO 64093-3120
Phone (660) 429-2228
Other practice location 1
4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Phone (505) 727-7800
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70824 | Other | NM | RN |
| CNM05823 | Other | AMCB CERTIFICATION | |
| 2021007301 | Other | MO | APRN-CNM |
| 778 | Other | NM | CNM LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2021.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1669007332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 BURKARTH RD STE A",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640933120",
"telephone_number": "660-429-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 BURKARTH RD STE A",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640933120",
"telephone_number": "660-429-2228"
}
],
"practiceLocations": [
{
"address_1": "4701 Montgomery Blvd NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871091219",
"country_code": "US",
"telephone_number": "505-727-7800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "RACHEL",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-03",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "NM",
"license": "70824",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NM",
"license": "778",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MO",
"license": "2021007301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "70824",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMCB CERTIFICATION",
"identifier": "CNM05823",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN-CNM",
"identifier": "2021007301",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNM LICENSE",
"identifier": "778",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.